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1 1 (September 27, 2017)

handle is hein.congrec/cbo3846 and id is 1 raw text is: CONGRESSIONAL BUDGET OFFICE COST ESTIMATE September 27, 2017 H.R. 3729 Comprehensive Operations, Sustainability, and Transport Act of 2017 As ordered reported by the House Committee on Ways and Means on September 13, 2017 SUMMARY H.R. 3729 would impose new reporting requirements on entities that furnish ambulance services to Medicare beneficiaries. The bill would also extend Medicare payments for ambulance services that would otherwise expire under current law and reduce the payment rate for certain ambulance services. CBO estimates that enacting H.R. 3729 would reduce net direct spending by about $895 million over the 2018-2027 period. Pay-as-you-go procedures apply because enacting the legislation would affect direct spending. The legislation would not affect revenues. CBO estimates that enacting the legislation would not increase net direct spending or on- budget deficits in any of the four consecutive 10-year periods beginning in 2028. H.R. 3729 contains no private-sector or intergovernmental mandates as defined in the Unfunded Mandates Reform Act (UMRA). ESTIMATED COST TO THE FEDERAL GOVERNMENT The estimated budgetary effect of H.R. 3729 is shown in the following table. The costs of this legislation fall within budget function 570 (Medicare). By Fiscal Year, in Millions of Dollars 2017- 2017- 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2022 2027 INCREASES OR DECREASES (-) IN DIRECT SPENDING Estimated Budget Authority 0 150 90 60 55 50 -160 -235 -270 -300 -335 405 -895 Estimated Outlays 0 150 90 60 55 50 -160 -235 -270 -300 -335 405 -895 a

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